HomeMy WebLinkAboutPermit Fire Damage Report 2005-03-30FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
Building Department
Springfield Fire Department
Structural Damage to Building
Address or location of building ik3L tl q s1-
TO:
FROM:
SUBJECT:
Date:j d5
Name of Owner JLu
Type of Buitding
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Store, Warehouse, etc.)
Estimated value of building \q or$\
Estimated loss to building $u1 c-iO
Date of fire Zq D
Location of damage to buildirg
(Roof, Wall, Exterior,Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters,Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard irt a-
(Wiring,Outlets, etc.)
CC:
V:\FD_FORMS\FD{I 6 F,rRE DAMAGE REpORT.doc
Signed
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Detail
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Unit Event Time Code Location Comment
831 3129120051429 D 1636 17TH ST
831 3t29120051432 E 1636 17TH ST
831 3t29120051436 A 1636 17TH ST
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